| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $895.82 | $1,422.27 | $7,439.00 | |
Medcost
| Facility | $895.82 | $1,266.27 | $2,410.57 | |
United
| Facility | $6,688.00 | $15,545.00 | $22,780.00 | |
Wellcare
| Facility | $55.00 | $7,557.03 | $13,856.55 |